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Shock effect technique in media and art
Gross out is described as a movement in art (often with comical connotations), which is intended to shock the viewer(s) and disgust the wider audience by presenting them with controversial material (such as toilet humor and fetishes) that might be ill received by a mainstream audience. The content of the movement is not for the average art appreciatist.

Gross out is a subgenre of comedy movies in which the makers employ humor that is willfully "tasteless" or even downright disgusting. It usually involves gratuitous nudity, unrealistic aggressiveness towards property or Schadenfreude. The movies are generally aimed at a younger audience aged between 18 and 24. One boon of this genre is that it provides an inexpensive way to make a movie "edgy" and to generate media attention for it.

In the United States, following the abolition of the film industry's censorious Production Code and its replacement with the MPAA film rating system in the late 1960s, some filmmakers began to experiment with subversive film comedies, which explicitly dealt with taboo subjects such as sex and other bodily functions. Noteworthy examples include 1972's Pink Flamingos (in which the central character eats dog excrement) and other films by John Waters, and 1974's sketch comedy film The Groove Tube. As these films emerged from the counterculture movement and gained a measure of audience success, a comedy about the fraternity experience at US colleges. and performances by another United Kingdom based act, Forced Entertainment, who devised the iconic theatrical gorefest Bloody Mess.

American cartoonist Basil Wolverton invented his trademark "spaghetti and meatballs" style of artwork. Various artists helped create a flourishing gross out art scene, which began mainly in the 1990s, the most famous of which were Damien Hirst, known for encasing mutilated, rotting cattle in formaldehyde, and making art of endangered marine species such as sharks in formaldehyde tanks, and Tracey Emin, whose exhibit of an unmade bed featured used tampons, condoms and blood stained underwear.

Gross out themes are common in popular music genres, such as hip hop and hard rock, where shock value helps create notoriety. Bands include Gwar, Cannibal Corpse and Agoraphobic Nosebleed. GG Allin was infamous for his transgressive music act, which included eating excrement, mutilating himself and attacking audience members. Similar themes are also sometimes conveyed in music videos, such as Gross Out, a single from indie/garage rock band, The Vines.